Homestead_Snyder (5) S STE FORM 53MIR_I MNI MEASURER FORM TS-IA
APPROVED
DEPARTMENTIOF LOCAL A
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tas bills for all:therefore.
® HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
r_..
Local Government finance will use this information to create ools that will help coun officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATIOty N
F I 14 Taxpayer Name Property Address
1 Snyder, James
627 S GIBSON
APR 7 ZULU PRINCETON IN 47670
1155
James D Snyder
627 S Gibson GIBSON COUNTY AUDITOR
PRINCETON IN 47670.2405 ( State Parcel Number Legal Description
Itllllltllll llll'lll llll tllt11111111111111111111110-2405
llllllllllttt ltf 1111111ttl ltllltl •` 26-12-07-403-004.250-028 019-14250-00 PT SE 7210.11 AC
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
5 E c DA-vif) ��yD
eau Address(number and strm,city,state,and ZIP code) 'Same as property address
1027 �. 6fftn J � ) , , �l� i�, � � y7 G170
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) []Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
snt
PART 3:CERTIFICATION --- _ -
Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property.Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature i( Date
•
•
Q�y.nna
.,� t CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
� , State Fortn 5473 (RS / 10-07)
.�b� Prescri6ed by lhe Depariment of Local Govemment Finance
INSTRUCTIONS: See reverse side !or filing instructions.
FORM y^ YEAR �
HC10 \"\ �
I (We) certifyMialbrJth�l�A�of March, 20_
I(We) occupi as our principal place of residence the following described real operty for which a Hom ead Property Tac edit is hereby daimed:
❑ I(We) ow d ❑ Are buying under wntrect
�ave a benefidal interest in the entity that is liable for the property taxes on Ihe property and that o nq��g3Qpp � p�3€ buy r�1�01Pr contract.
it._.4.;_.t�.r��'...... =��.L���'s;�_,5�'_—•+,� .:x -�- � - . ....' , ,.•��..,:> :, �� -
.e;ts�:�.�r- � ;--;CONTRACT'RECORDED�•':�'- .'-.,. -�^ .
If buying on conlract, Fee Simplo owners name
Recordefs ofice where wntrsc� is rewrded Rewrd number Page
�� ,$'.�'�-�F� ....r. sz,�::.+��. �y:3.a'�*'ri�r_.,:i.::4;. ;PROPERTY.DESCRIP,TION�. �� ;;-` ��.a" - �.
County.y` Tavnship �� Tating district (cify, town, rownship)
Parcel number /� ��'�� � es � lion Is the property in question:
� / —f � - � ❑ I pmperty ❑ Mobile Homo Q.C. 61.1-7�
I( any porlion ol the resic a or Ne Wnd noi excaeding one (1) acre tha� immetlia�ely surrou lh s s used lo produce intome, desaiha �he use and portion
af ihe properry utilized to produce income.
t
,��'�a��
�� m � �� �� , :�`>n.:PROPERTY OWNED��BY CL'AIMANTiN OTHER"COUNTIES+ .-`_ � - :'.•r r� ; -� .}',.', r'���" . �� '� -
'`� "-`.�"'*'_-a-.. "� � � s..,' a
_ _,-,.-. M... ,�... � _ .
County TavnshiD Counly Tavnship
I hereby certify the above s�atements are We, covect and wmplete. Sign �ur of cl ' ant
'ress ( m eiaMsbeet, dry, sfafe, ZlPcade)
.tvN T.
��� �'��,.��" �'� ' Li�1':.� 'Y r I �' �-� �}'+�. . �S . _ . $ . . ... . y . . . - y� c.- . -.
'�''� �ASSESSOR�USE ONLY � � t` ��. �,yTRUE TAX y ASSESSED VALUE +HOMESTEAD� � ,� �.-�4NON RESIDENTIAL �
1-'fg[-t+`..`��.:�.i3'E:.��,7�"i�'�'.i:�..._��i�%a.! *.+`�E'ir�t VALUE: r..�_:AT�100°/OF7TSVs 'er,VALUEt's�'`�r.n .�}�',VALUES.�``�Fk'•�S
Land not exceeding 1(one) acre immediately �1.�'E € "�r' T�;'3,,.��. S
surtoundingresidentialimprovemenLS. (�) ���� �'fSt'�+t�'' :r;rr-�,.+��.
r:•y.� ,t,y. :w}.� —
s .'t� ��/. �'`�
i .f
:l:e� �f'�.
Other land (p) :.(�° "�� �±��,�fsa
'.[': ,... r,�:l:=a__� ..
'_el-
Total land (line 1 plus line 2) (3�
Dwelling (4) 5 "Satt �sh�x<�,.s{�'�� �F^
�ic e:
'� .� i`.c �rFZ �'-�' 4v. r$
Residentlal improvements - Y 1 �-.
:ir�'�'?t���.�yt4 . '�as�'
-,.� .c �'i� s'�ya>r
Garage (5� , ,- •3# x� ,, � - •.
t?-. -3�.=:.'..,.__-.�' "i :�. �:c ., �t`._ _
�-t t+.�,,. �� :
Otherimprovements (6) � � ;,
rSks:ar+i;:
Tcial improvements (line 4 fhrough line 6) (7�
Tclal value (line 3 phs line n ' (g)
I hereby ceAify Ihe above is We. cortect, and Signawre ofassessor Date signed
complete.
Verilyin9 aclion - SignaWre otNitlitor Date signetl
20_Pay20_
Lesserof 1/2 Homestead
Valuatlon or 56,000
Auditor
5
` I